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HomeMy WebLinkAboutP2024-0119 - Permits¢":"W po"�' City of Newport Beach O @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u >� Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic IIII��III�II�II��II�II�II�I�I�I�III���III��III�I�I�I II Plumbing Permit: P2024-0119 P 2 0 2 4 0 1 1 9 Plan Check No : Work Class : Other Issued Date : 03/22/2024 Final Date: Permit Status: Issued Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1418 COLONY PLZ Description: PLUMB R/R 50 GAL WATER HEATER Owner: THE COLONY AT FI LLC Address : NEWPORT BEACH, CA 92658 Phone : (949) 939-4889 Legal Desc : N TR 15178 BILK LOT 2 Applicant: SCOTT PLUMBING INC Address : 10765 LAUREL AVE SANTA FE SPRINGS, CA 90670 Phone : (562) 944-9793 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: Bu Contractor : SCOTT PLUMBING INC Address: 10765 LAUREL AVE SANTA FE SPRINGS, CA 90670 Phone: (562) 944-9793 Con State Lic: 813415 Lic Expire : 10/31/2024 Bus Lic: BT30083102 Bus Lic Expire: 11/30/2024 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INSURANCE COMPANY Policy No: PSIC0701232901 W. C. Expire: 11/1/2024 Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below repair the checcture, prior I have placed next to the applicable items) action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of It more than five hundred dollars jS500). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 70t st the ismess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided Iprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or (proved for the purpose of sale). 11. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). 7 I am exempt from licensure under the Conlrectors' State License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:htip://www.leginfo.ca.gov/calaw.htmi. Date ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 )10 ivision 3 of the Business and urofessionand my li s in full force nd effect. License Class License No Date 3 z Contractor Signature JORKERS' COMPENSATION DECLARATION EMPLOYER TO GSTIGF COMPENSATION, TO SECURE WORKERS' COMPENSATION COVERAGE SECTION 37061GF UNLAWFUL, AND SHALL SUBJECT AN ATTORNEY'3 FEES. RIMINAL PENALTIES AHD CIVIL FINFS UP TO ONE MUNOREG THOUSANG DOLLARS (f1 W.0001, IN AGDITION TO THE GES ED THE hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erfhave and will maintain workers' compensation insurance, as required by Section 3700 of of the work for which this permit is issued. Policy No. W the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol 3( isurance carrier and policy number are: Policy Number Expiration Date ie of Agent y any person in any manner so as to became subject to the workers' compensation laws of California, and ogre certify that, in the performance of the work for which this permit is issued, I shall not emplo if I should become subject to the workerscompensation rOVi3ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. •� Data nature of Applicant CLARATION REGARDING CONSTRUCTION LENDING AGENCY !reby affirm under penalty of perjury that there is a construction lending agency forLthe ender's Address of the work for which this permit Is issued (Section 3097 (der s Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree tc comply with all applicable city and county ordinances and state laws relating to building construction. I Tuthorize representatives of this city or county to enter the above-identif roperty, for inspection purposes. M e Pr m Prnnertv Owner's or Authorized Agenfs Name ex DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ACL'ON REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 VERWT EXPIRED 1 SUBMITTED ASNOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED OMD PERMITFINAL ASNOTIFICATION I5 NOT APPLICABLE TO CERTGICATE OF /// 5 e PROPOSED DEMOLITION OCCUPANCY /SS'J70 SIGNATURE: Civil Code).